Endovascular treatment of huge saccular abdominal aortic aneurysm in a young Behcet patient: mid-term result

BACKGROUND: Abdominal aortic aneurysm formation is among the arterial complications of Behcet's disease. Weakness and fragility of aortic walls leads to the development of arterial complications like pseudoaneurysms. CASE PRESENTATION: A case of huge saccular abdominal aortic aneurysm in a young Behcet patient who was successfully treated with endovascular stent graft placement is reported, diagnostic and interventional procedures are discussed, and mid-term follow-up results are presented. CONCLUSIONS: Endovascular treatment of abdominal aortic aneurysm complications of young Behcet patients who are not suitable for open surgery and need intervention could be an alternative treatment modality even without performing preprocedural angiography

Hemolysis After Administration of High-Dose Immunoglobulin in a Patient with Myocarditis

ABSTRACT The use of high-dose intravenous immunoglobulin (IVIG) has greatly increased in the last years. With broader use of immunoglobulin, the numbers of reported side effects are also growing. IVIG have also been used in the treatment of myocarditis and dilated cardiomyopathy. Here we reported a child with presumed acute myocarditis who has developed severe hemolytic anemia following high-dose IVIG administration. As our knowledge, this is the first case report with myocarditis or dilated cardiomyopathy who developed hemolytic anemia following high-dose IVIG administration

Evaluation of Electrocardiographic Markers for the Risk of Cardiac Arrhythmia in Children with Obesity

Aim:This study was conducted to examine the electrocardiographic markers used in the risk assessment of cardiac arrhythmia in children with obesity.Materials and Methods:In this prospective study, 60 children aged 3-17 years with exogenous obesity and 60 age and sex-matched healthy controls were included. Demographic data, assessment of atrial and ventricular arrhythmia risk markers in electrocardiography, and standard echocardiography measurements were performed. Values of p<0.05 were considered significant.Results:The mean ages of the study and control groups were 11.51±3.48 years and 10.74±3.72 years, respectively. Both groups had 30 males and 30 females. The study group had significantly higher average mean body mass index (BMI) compared to the control group. In electrocardiographic examinations, P-wave dispersion, QT dispersion (QTd), corrected QTd (QTcd), Tpeak-Tend (Tp-e), Tp-e/QT, and Tp-e/QTc values were significantly higher in the obese group compared to the control group. In echocardiographic examinations, the dimensions of the heart chambers and vascular structure and wall thicknesses were found to be significantly higher in those children with obesity.Conclusion:The electrocardiographic risk markers used to predict cardiac arrhythmias were found to be increased in those children with obesity. This may suggest that increased body weight and adiposity may have unfavorable effects on the cardiac conduction system

Effects of testicular microlithiasis on Doppler parameters: report of three cases

BACKGROUND: Testicular microlithiasis is a rare, usually asymptomatic, non-progressive disease of the testes associated with various genetic anomalies, infertility and testicular tumors. According to our literature search, there is no specific data about Doppler findings in this disease. CASE PRESENTATION: Doppler findings of three cases of testicular microlithiasis during last two years in our institution are presented. CONCLUSIONS: Although our hypothesis was to find increased Doppler parameters due to intratesticular arterial compression, our findings suggest that there are no Doppler findings specific to testicular microlithiasis

The investigation of myocardial performance index in children who have congenital heart disease with isolated left to right shunt lesions

Atriyal, ventriküler veya büyük damarlar arasındaki izole soldan sağa şantlı lezyonlar çocukluk çağında görülen en sık kalp anormallikleridir. Doğuştan kalp hastalığı olan hastalarda ventrikül geometrisi bozulacağı için ventrikül fonksiyonlarını değerlendirmede bazı zorluklar olabilmektedir. Ventrikül fonksiyonlarım değerlendirmede Doppler eko yöntemi ile elde edilen ve ventrikülün geometrik şekline bağımlı olmayan miyokard performans indeksi erişkin ve çocuklarda araştırılarak kullanılmaya başlandı. Miyokard performansindeksi izovolumik zaman aralıklarının ejeksiyon zamanına bölünmesi ile elde edilir. Ventriküllerin ön ve art yük değişikliklerinde bu indeksin nasıl etkilendiği araştırılmalıdır. Bu çalışma izole soldan sağa santiarın neden olduğu ön yük değişikliklerinde sağ ve sol ventriküler miyokard performans indeksinin nasıl etkilendiğini araştırmak amacı ile planlandı. Yaşlan 6 ay ile 148 ay arasında 17 ASD' li, yaşlan 2 ay ile 160 ay arasında 23 VSD' li ve yaşlan 3 ay ile 160 ay arasında 24 normal çocukta sol ve sağ ventrikül için miyokard performans indeksi ölçüldü. Sol ventrikül için miyokard performans indeksi ASD, VSD ve kontrol grubunda sırası ile 0.38, 0.37 ve 0.32 iken sağ ventrikül için miyokard performans indeksi sırası ile 0.24, 0.21 ve 0.20 bulundu. Gruplar arasında sol ve sağ ventrikül miyokard performans indeksleri yönünden istatiksel açıdan anlamlı bir fark yoktu. Bu çalışma ile ventrikül fonksiyonlanm ölçmeye yarayan miyokard performans indeksinin ön yük değişikliklerinden bağımsız olduğu gösterildi.Isolated left-to-right shunt lesions at the atrial, ventricular, or great artery level are the most common cardiac abnormalities found in children. Quantitative assessment of ventricular function in patients with congenital heart disease is often challenging due to distorted ventricular geometry. A myocardial performance index ( MPI ) has been reported in adults and children that is a Doppler-derived non-geometric measure of ventricular function. The MPI measures the ratio of isovolumic time intervals to ventricular ejection time. The effects of altered ventricular preload or afterload on the MPI have yet to be determined. This study was designed to determine the impact of altered preload on left and right ventricular MPI in the clinical setting of left-to-right lesions. The left and right ventricular MPI were maesured in 17 patients with ASD ( ages 6 to 148 months ), 23 patients with VSD ( ages 2 to 160 months), and 24 normal children ( ages 3 to 160 months ). In patients with ASD, VSD, and control groups, the left ventricular MPI was 0.38, 0.37, 0.32, and the right ventricular MPI was 0.24, 0.21, and 0.20 respectively. No significant change in the left and right ventricular MPI was seen in patients with left-to-right shunt lesions and control groups. This study documents that the MPI is a quantitative measure of ventricular function that is appears to be relatively independent of changes in preload

Doğuştan kalp cerrahisi yapılan çocuklarda aritmi gelişiminin ö ngörüsünde ameliyat öncesi ve sonrası düzeltilmiş QT dispersiyonunun değer lendirilmesi

WOS:000310402100005Amaç: Çalışmada doğuştan kalp cerrahisi yapılan çocuklarda ameliyat öncesi ve sonrası QTc dispersiyonu değişkenliği değerlendirildi. Çalışma planı: Ekim 2006 - Mart 2011 tarihleri arasında doğuştan kalp cerrahisi yapılan ve ilk dahil edilme kriterlerini karşılayan ardışık 279 hasta (144 kadın, 135 erkek; ort. yaş 56.65.0 ay; dağılım 15 gün-17 yaş) çalışmaya alındı. QTc dispersiyon ölçümleri, hastalardan ameliyat öncesi (bir ay) ve ameliyat sonrası (bir hafta) dönemde elde edilen standart 12 derivasyonlu istirahat elektrokardiyogramlarından hesaplandı. Bulgular: Kardiyak cerrahi yapılan tüm hastaların %75.9unda QTc dispersiyonu, ameliyat sonrası ameliyat öncesinden istatistiksel olarak yüksek bulundu (p0.001). Çalışma grubunda en sık tespit edilen doğuştan kalp hastalıkları ventriküler septal defekt (VSD) (%36.9) ve sekundum atriyal septal defekt (ASD) (%18.2) idi. Ventriküler septal defekt, atriyoventriküler septal defekt, Fallot tetrolojisi (TOF) ve sekundum ASD onarımları QTc dispersiyonundaki artış için majör risk faktörleriydi. Ancak, VSD ile pulmoner stenoz onarımı, koarktasyonda aortun uç uca anostomozu, patent duktus arteriozus ligasyonu ve divizyonu, pulmoner bant ve Glenn prosedürü yapılan çocuklarda ameliyat öncesi ve sonrası QTc dispersiyonları arasında istatistiksel fark bulunmadı. Yapılan kardiyak ameliyatın tipine göre ortaya çıkan aritmiler, uzun QTc dispersiyonu olan grupta, olmayanlara kıyasla, istatistiksel olarak yüksekti. Sonuç: QTc dispersiyonu ölçümü aritmilerin araştırılmasında kullanışlı ve invaziv olmayan bir elektrokardiyografik testtir. Çalışma sonuçları, QTc dispersiyonunun ameliyat sonrası dönemde kullanımının ortaya çıkacak aritmilerin öngörüsünde yardımcı olabileceğini göstermektedir.Background: The aim of this study was to evaluate pre- and postoperative QTc dispersion variability in children undergoing congenital cardiac surgery. Methods: Between October 2006 and March 2011, 279 consecutive patients (144 females, 135 males; mean age 56.6±5.0 months; range 15 days to 17 years) who met initial inclusion criteria and underwent congenital cardiac surgery were included. QTc dispersion measurements were calculated based on the standard 12-lead resting electrocardiograms of the patients in the preoperative (one month) and postoperative (one week) period. Results: In 75.9% of all patients with cardiac surgery, postoperative QTc dispersion was statistically higher from preoperative QTc dispersion (p>0.001). Ventricular septal defect (VSD) (36.9%) and secundum atrial septal defect (ASD) (18.2%) were the most common congenital heart diseases in the study population. Repair of VSD, atrioventricular septal defect, tetralogy of Fallot, (TOF) and secundum ASD were the major risk factors for increased QTc dispersion. However, no statistical difference was found between pre- and postoperative QTc dispersion in children who underwent repair of VSD and pulmonary stenosis, end-to- end anastomosis of aorta for coarctation, patent ductus arteriosus ligation and division, pulmonary banding, and Glenn procedure. The occurrence of arrhythmia in prolonged QTc dispersions according to the type of cardiac surgery was statistically higher from those without prolonged QTc dispersion. Conclusion: QTc dispersion measurement is a useful noninvasive electrocardiographic test in the evaluation of arrhythmias. The study results suggest that use of QTc dispersion in the postoperative period may be helpful in the prediction of the development of arrhythmias

Bir adolösanda künt göğüs travmasına bağlı supraventriküler taşikardi

WOS:000337163600010PubMed ID: 24936844Künt göğüs travması ve bununla ilişkili komplikasyonlar çocukluk çağında görülen kardiyak arrestin nadir nedenleridir. Ayrıca, bu olgular da giderek artan sayıda bildirilmektedir. Kurbanlar sıklıkla ventriküler fibrilasyon veya taşikardi ile teşhis edilmektedir. Bununla birlikte kardiyak ileti bozuklukları da bildirilmektedir. Bu yazıda, futbol topu ile künt göğüs travmasına bağlı supraventriküler taşikardi gelişen sağlıklı bir adolösan olgu sunuldu. Bu olgular içerisinde göğüs travmasına bağlı atrial aritmi olması nedeniyle literatürdeki ilk bildiridir.Blunt chest trauma and its associated complications represent a rare cause of cardiac arrest in a healthy child, although an increasing number of these events have been reported. Victims are most often diagnosed in ventricular fibrillation or tachycardia. However, cardiac conduction abnormalities are also reported. In this report, a healthy adolescent with supraventricular tachycardia associated with blunt chest trauma due to a football is presented. This is the first report in the literature of atrial arrhythmia in these cases with chest traum

Comparison of gadoxetic acid and gadobenate dimeglumine, liver-specific contrast agents used in magnetic resonance imaging in differential diagnosis of liver masses

To compare Gadoxetic acid and Gadobenate dimeglumine in the detection and characterization of liver masses. In this study, 59 lesions in 28 patients are included in which were dynamic MRI that had been used Gadoxetic acid (Gd-EOB-DTPA) and Gadobenate dimeglumine (Gd-BOPTA). Observers recorded the liver lesions and adjacent parenchymal signal intensities (SI) in precontrast, arterial and hepatocyte phase by using the ROIs for the quantitative analysis. All statistical analyzes were performed with SPSS 22 software. p [Med-Science 2020; 9(1.000): 175-9

The Role of First-Pass Perfusion Computed Tomography in the Differentiation of Centrally Located Lung Cancer and Distal Atelectasis

Our aim in this study was to differentiate postobstructive consolidation from lung cancer by means of first-pass perfusion CT in centrally located malignancies. We studied 20 patients (18 males and 2 females) diagnosed as lung cancer with untreated central masses and distal postobstructive atelectasis. In order to localize the slice position showing the appropriate mass-consolidation area to be included in contrast-enhanced dynamic imaging, we first performed scout and baseline acquisition without contrast media, followed by dynamic acquisition after intravenous contrast media injection. Three different ROIs were placed on the central mass while avoiding the peripheral regions as much as possible and on the peripheral locations of distal consolidation using dynamic contrast-enhanced images. The BV, BF, TTP and MTT perfusion parameters were automatically calculated in the ROI locations. We were able to differentiate the central masses from distal consolidations by means of statistical differences in the first-pass BV and BF parameters between the mass and distal consolidation areas. The mean values of parameters that were calculated in the mass and consolidation areas were BV:7.69±4.28 ml/100g, BF:48.87±25.54 ml/100g/min, TTP:27.94±7.32 sec., MTT:9.56±3.47 sec. and BV:11.83±5.34 ml/100g, BF:78.75±39.41 ml/100g/min, TTP:29.72±6.05 sec., MTT:11.44±4.93 sec., respectively. We concluded that first-pass perfusion CT may be used as a functional imaging method to differentiate central lung cancer from distal consolidation and could be useful in reducing the target cancer volume in patients who are candidates for radiation therapy. [Med-Science 2016; 5(2.000): 432-47